Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans
We undertook a retrospective cohort study of patients with a positive HIV test in the emergency department who were then linked to care. Inpatient, outpatient, and emergency costs were collected for the first 2 years after HIV diagnosis. Fifty-six patients met the inclusion criteria; they were predo...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-11-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957417737381 |
| _version_ | 1818256541982130176 |
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| author | Jason Halperin MD, MPH Morgan Katz MD Ishani Pathmanathan MD, MPH Leann Myers PhD Nicholas Van Sickels MD Paula Sereebutra Seal MD, MPH Lauren E. Richey MD, MPH |
| author_facet | Jason Halperin MD, MPH Morgan Katz MD Ishani Pathmanathan MD, MPH Leann Myers PhD Nicholas Van Sickels MD Paula Sereebutra Seal MD, MPH Lauren E. Richey MD, MPH |
| author_sort | Jason Halperin MD, MPH |
| collection | DOAJ |
| description | We undertook a retrospective cohort study of patients with a positive HIV test in the emergency department who were then linked to care. Inpatient, outpatient, and emergency costs were collected for the first 2 years after HIV diagnosis. Fifty-six patients met the inclusion criteria; they were predominantly uninsured (73%) and African American (89%). The median total cost for a newly diagnosed patient over the first 2 years was US$36 808, driven predominantly by outpatient costs of US$17 512. Median inpatient and total costs were significantly different between the lowest (<200 cells/mm 3 ) and highest (>499 cells/mm 3 ) CD4 count categories (US$21 878 vs US$6607, P <.05; US$61 378 vs US$18 837, P <.05, respectively). Total costs were significantly different between viral load categories <100 000 HIV-RNA copies/mL and ≥100 000 HIV-RNA copies/mL (US$28 219 vs US$49 482, P <.05). Costs were significantly lower among patients diagnosed earlier in their disease. Decreased cost is another factor supporting early diagnosis and linkage to care for patients with HIV. |
| first_indexed | 2024-12-12T17:29:24Z |
| format | Article |
| id | doaj.art-822dea7bbc6e4b73abb3fc87ec216653 |
| institution | Directory Open Access Journal |
| issn | 2325-9574 2325-9582 |
| language | English |
| last_indexed | 2024-12-12T17:29:24Z |
| publishDate | 2017-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-822dea7bbc6e4b73abb3fc87ec2166532022-12-22T00:17:26ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822017-11-011610.1177/2325957417737381Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New OrleansJason Halperin MD, MPH0Morgan Katz MD1Ishani Pathmanathan MD, MPH2Leann Myers PhD3Nicholas Van Sickels MD4Paula Sereebutra Seal MD, MPH5Lauren E. Richey MD, MPH6 Present address: Crescent Care, New Orleans, LA USA Present address: Division of Infectious Diseases, Johns Hopkins University, Baltimore, MD, USA Department of Internal Medicine, Tulane University Medical Center, New Orleans, LA, USA Department of Biostatistics and Bioinformatics, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA Section of Infectious Disease, Tulane University Medical Center, New Orleans, LA, USA Section of Infectious Disease, Louisiana State University Health Sciences Center, New Orleans, LA, USA Present address: Section of Infectious Disease, Louisiana State University Health Sciences Center, New Orleans, LA, USAWe undertook a retrospective cohort study of patients with a positive HIV test in the emergency department who were then linked to care. Inpatient, outpatient, and emergency costs were collected for the first 2 years after HIV diagnosis. Fifty-six patients met the inclusion criteria; they were predominantly uninsured (73%) and African American (89%). The median total cost for a newly diagnosed patient over the first 2 years was US$36 808, driven predominantly by outpatient costs of US$17 512. Median inpatient and total costs were significantly different between the lowest (<200 cells/mm 3 ) and highest (>499 cells/mm 3 ) CD4 count categories (US$21 878 vs US$6607, P <.05; US$61 378 vs US$18 837, P <.05, respectively). Total costs were significantly different between viral load categories <100 000 HIV-RNA copies/mL and ≥100 000 HIV-RNA copies/mL (US$28 219 vs US$49 482, P <.05). Costs were significantly lower among patients diagnosed earlier in their disease. Decreased cost is another factor supporting early diagnosis and linkage to care for patients with HIV.https://doi.org/10.1177/2325957417737381 |
| spellingShingle | Jason Halperin MD, MPH Morgan Katz MD Ishani Pathmanathan MD, MPH Leann Myers PhD Nicholas Van Sickels MD Paula Sereebutra Seal MD, MPH Lauren E. Richey MD, MPH Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans Journal of the International Association of Providers of AIDS Care |
| title | Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans |
| title_full | Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans |
| title_fullStr | Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans |
| title_full_unstemmed | Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans |
| title_short | Early HIV Diagnosis Leads to Significantly Decreased Costs in the First 2 Years of HIV Care in an Urban Charity Hospital in New Orleans |
| title_sort | early hiv diagnosis leads to significantly decreased costs in the first 2 years of hiv care in an urban charity hospital in new orleans |
| url | https://doi.org/10.1177/2325957417737381 |
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